Families Registration Form
Please fill in your details below:
Title *
Full Name *
Your answer
Full Postal Address *
Your answer
Home Phone *
Your answer
Mobile Phone *
Your answer
Email Address *
Your answer
Nationality *
Your answer
Religion *
Your answer
Are you a one parent family? *
Mother's occupation
Your answer
Father's occupation
Your answer
Families Interests *
Your answer
Type of childcare help required *
Living arrangements *
How much weekly pocket money will you pay? *
Your answer
How many weekly hours do you need? *
Your answer
Which days of the week do you need help? *
Required
Please state start and finish times for each day *
Your answer
Would you consider a male au-pair? *
Do you live in a house or flat? *
Number of bedrooms *
Number of bathrooms *
Pets *
Your answer
Names of children *
Your answer
Ages of children *
Your answer
Gender of children *
Your answer
What type of area do you live in? *
Nearest Underground
Your answer
Nearest British Rail *
Your answer
Nearest language school *
Your answer
Distance to language school *
Your answer
When would you want the au-pair to start? *
Your answer
How long do you want the au-pair to stay? *
Your answer
Would you prefer a driver? *
Will the au-pair have to use the family car? *
Would you prefer a non smoker? *
What do you require from an aupair? *
Your answer
Will the au-pair have their own...? *
Required
What level of English would you accept? *
Your answer
Any other information?
Your answer
Please send us a family picture
Please email a a family picture to families@aupairka.co.uk
I agree to the Terms and Conditions (See website) *
Required
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